MONIQUE T GODBOLD SANCHEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037445

License Status

CANCELLED

Business

First Name

MONIQUE T

Middle

GODBOLD

Last Name

SANCHEZ

Suffix

Business Name

MONIQUE T GODBOLD SANCHEZ MD

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006